January 20, 1969, Vol 207, No. 3 >

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ARTICLE | January 20, 1969

Benign Duodenocolic Fistula

Gregory J. Gallivan, MD

JAMA. 1969;207(3):561-562. doi:10.1001/jama.1969.03150160073025.

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To the Editor:.— Benign duodenocolic fistula is infrequent. Most follow carcinoma of the transverse colon. The first fully documented benign case was that of Sanderson in 1963.¹ Starzl et al reviewed 24 cases from English, French, and Italian journals. A previous review uncovered an additional 29 cases documented between 1893 and 1967.³ Fully one sixth of all cases have had the point of origin in a duodenal diverticulum.

Report of a Case:— A 76-year-old white man was hospitalized on May 6, 1966, with bloody diarrhea and syncope. Barium enema examination revealed a fistulous tract extending from the duodenum into a cavity communicating with the transverse colon. A preherniorrhaphy barium enema in September 1965 had revealed only colonic diverticulosis on the left side.The patient was readmitted June 30, 1966, with a temperature of 39.5 C, diarrhea, feculent vomiting, and pain in the abdomen. Blood cultures revealed nonhemolytic streptococcus,

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Gallivan GJ. Benign Duodenocolic Fistula. JAMA. 1969;207(3):561-562. doi:10.1001/jama.1969.03150160073025.

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